Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 60, Issue 5 , Pages 529-535, May 2007

Delayed breast reconstruction using a combination of latissimus dorsi muscle flap and tissue expander with embodiment injection site

  • Andreas Foustanos
  • ,
  • Harris Zavrides

      Affiliations

    • Corresponding Author InformationCorresponding author. Parpas Court, 3rd floor, 145 Kyrenias Avenue, Aglantzia, Nicosia 2113, Cyprus. Tel: +357 99 595776; fax: +357 22 336500.

Plastic Surgery Department, Iaso Hospital, 37-39, Kifisias Avenue, 151 23 Maroussi, Athens, Greece

Received 28 April 2006; accepted 27 November 2006. published online 02 February 2007.

Summary 

This article presents our experience in delayed breast reconstruction, using a combination of latissimus dorsi muscle flap (LDMF) and tissue expander with embodiment injection site, in a two-stage approach. A consecutive sample of 50 patients was studied. The average length of follow up was 4 years (range 12–72 months). In all patients the above two-stage approach was performed. The results are encouraging. Using LDMF and tissue expansion for delayed breast reconstruction has proven to be useful. This approach provides sufficient muscular coverage of the implant. The level of patient satisfaction is high. Major complications are rare. The minor complications are represented mainly by the dorsal seroma. The technique with LDMF has been improved substantially during the past few years. In our experience, it provides the plastic surgeon with an excellent, safe and consistently successful method for delayed breast reconstruction.

Keywords: Delayed breast reconstruction, Latissimus dorsi muscle flap

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PII: S1748-6815(06)00620-6

doi:10.1016/j.bjps.2006.11.019

Journal of Plastic, Reconstructive & Aesthetic Surgery
Volume 60, Issue 5 , Pages 529-535, May 2007